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Instructions on completing the application form
1. All prospective Learner Support Centres seeking affiliation
with Vision International College must complete thisapplication
form.
2. Please submit all the relevant documentation requested (see
the last paragraph of each section) with the application form.3.
Applications must be complete to enable Vision International
College to proceed with the application process, and if you
need additional information or clarity on any aspect of the
application form, contact the Regional Head Office.4. Please use a
black pen and print clearly when completing the form.
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1. Details of Responsible Person for the Learner Support
Centres
This Person is responsible to Vision International College for
all communication between the
Learner Support Centres and Vision International College.
Title (Past,Dr,Rev etc.)
Surname NameResidential
Address
..
Postal Address (ifdifferent fromresidential address)
Telephone No Cell No
Email address
Attached appointment letter from, Church Council or
Organisation.
Attached Curriculum Vitae of Responsible Person.
2. Details of Covering Ministry or Organisation
Name of Ministry or Organisation
Name of Pastor or Leader
Physical Address of Ministry or
OrganisationTelephone No Email address:
Details of Registration (e.g.) N.PO/NGO etc.
Registration No When established
Church Denomination(part of a group or independent)
Attached Church or Organisation registration certificate and
proof of physical address.
3. Tutoring / Facilitating Staff
List the names of tutoring / facilitating
staff
Fields / Subjects of interested (e.g. BiblicalStudies, New
Testament etc.)
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Please Attach Curriculum Vitae`s of Staff
4. Proposed Name of Learner Support Centre
5. Program that Learner Support Centres wants to tutor
Under Graduate (Certificate IV Advanced Diploma)
Post Graduate (Graduate Certificate Graduate Diploma )
NB: 1. To tutor the under graduate program, tutoring staff at
Learner Support Centres must hold at
least a Bachelors Degree or a Post Graduate Diploma
2. To tutor the Post Graduate Program, tutoring staff must hold
at least a Masters Degree.
Tutoring Staff that dont hold the above mentioned qualifications
can apply for Recognition of Prior
Learning (RPL) with Vision to obtained the required
qualifications if the evidence provided is
sufficient and meet the outcomes of the required qualifications.
An RPL fee for this service is
required.
6. Application / Affiliation Fee
The yearly affiliation fee is R 1000.00, payable upfront.
A further R1000 is payable upon starting, for compulsory
Induction Training workshops. This fee of
R1000 only covers the Western Cape Metropole Area for training
done at the national office (For all
induction training outside the Western Cape Metropole, the
Learner Support Centres will be held
responsible for accommodation, Meals and travelling of National
office staff of which the R1000 is
also included.
Please attach proof of payment
NB: Vision International College will process your application
as soon as we received youre full
completed application, with all the required documentation. You
will be notified in writing and
we will forward an affiliation certificate from us upon signing
our covenant agreement/
memorandum of understanding (MOU).
. .
Name and signature of responsible person Date
. .
Co-ordinator (Vision International College) Date
